<div class='span12 box'>
	<form id="queryFormId" class=" form-inline">
		<div style="margin-left:20px;"></div>
		<div class='span12'>
        	
        	<div class="span4">
				<div id="province" class='control-group'>
          			省份&nbsp;
                	<input id='areaid' type="text" style="width:150px"/>
        		</div>
				
				<div id="applytype" class='control-group' style='display:none;'>
	          		应用名称&nbsp;
	                <input id='applyName' type="hidden" style="width:150px"/>
	        	</div>
				
				<div id="callback" class='control-group' style='display:none;'>
          			回呼号码&nbsp;
                	<input id='callbackNum' type="text" style="width:150px"/>
        		</div>
        	</div>
			
			<div class="span4">
				<div class='control-group'>
					<div id='querydatewrapper'></div>
				</div>
			</div>
		
			<div class="span4">
				<div class='control-group'>
					<button id='querybtn' type="submit" class="btn btn-contrast">查询</button>
					<button id='restbtn' class='btn'>重置</button>
				</div>
			</div>
		</div>
		
    </form>
</div>